Re: PRO> ProMED Digest V2004 #201

From: Liz Brown (bfeab@uaf.edu)
Date: Thu May 27 2004 - 08:18:39 PDT

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    Does anyone on the Seafood NIC listserve know about the packaging or
    production method of these products?

    >Date: Wed, 26 May 2004 19:40:40 -0400 (EDT)
    >From: ProMED-mail <promed@promed.isid.harvard.edu>
    >Subject: PRO/EDR> Botulism, dried fish suspected - Russia (Volgograd)
    >
    >BOTULISM, DRIED FISH SUSPECTED - RUSSIA (VOLGOGRAD)
    >***********************************************
    >A ProMED-mail post
    ><http://www.promedmail.org>
    >ProMED-mail, a program of the
    >International Society for Infectious Diseases
    ><http://www.isid.org>
    >
    >Date: Tue 26 May 2004
    >From: ProMED-mail <promed@promedmail.org>
    >Source: Regions.ru, 26 May 2004 [translated by Mod.NR; edited]
    ><http://www.regions.ru/newsheadlines/index.html?section=news&topic=health>
    >
    >
    >4 cases of botulism reported in Volgograd
    >- -----------------------------------------------
    >4 cases of botulism were reported in Volgograd, Russia, one with a fatal
    >outcome. The affected persons were admitted to the Krasnooktyabrskiy and
    >Sovetskiy hospitals on 19 May 2004. According to the Sanitary
    >Epidemiological Surveillance Center's Hygiene Department chief, Igor
    >Krasnov, all 4 of the patients ate dried fish bought from the "Petrovskiy"
    >shop. On Tue 25 May 2004, a 73-year-old woman died from the poisoning.
    >Another young 20-year-old woman is currently in serious condition in the
    >intensive care unit. The condition of 2 other patients -- a 53-year-old
    >man, and a 73-year-old man -- is estimated, by physicians, to be
    >satisfactory. So far, the precise cause of poisoning has not been
    >identified. Nevertheless, health officials are warning people to avoid
    >buying fish from the "Petrovskiy" shop.
    >
    >- --
    >ProMED-mail
    ><promed@promedmail.org>
    >
    >[The method of diagnosis of botulism is not stated here. Individual cases
    >of the paralysis can be confused with other diseases, but a cluster of such
    >cases is certainly likely to be botulism. Type E botulism is the type
    >frequently associated with fish products. Botulinum toxin is considered to
    >be one of the category-A biowarfare agents by the US CDC.
    >
    >Classically, botulism is a food-borne disease caused by the ingestion of
    >preformed toxin, although there also exists wound botulism (in which _C.
    >botulinum_ spores germinate in a wound), and infant botulism (in which the
    >spores germinate in the intestinal tract). In the USA, infant botulism is
    >the most common form of the disease. Inhalation botulism, or, food/water
    >deliberate contamination, may be biowarfare events. An accidental exposure
    >of lab workers to aerosolized toxin occurred in the early 1960s in Germany
    >(1). probably due, in part, to a sub-lethal dose. Lethal disease has been
    >caused in primates exposed to a botulinum toxin aerosol (2).
    >
    >1. Holzer, VE. Botulismus durch inhalation. Med Klin 1962;41:1735-1738.
    >
    >2. Franz DR, Pitt LM, Clayton MA, et al. Efficacy of prophylactic and
    >therapeutic administration of antitoxin for inhalation botulism, in
    >Botulism and Tetanus Neurotoxoins: Neurotransmission and Biomedicine
    >Aspects. Das Gupta BR (ed), 1993, Plenum Text, New York, pp 473-476. - Mod.LL]
    >
    >
    >

    -- 
    Liz Brown
    Marine Advisory Program
    University of Alaska Fairbanks
    PO Box 1549
    Dillingham, AK 99576
    907-842-1265
    Fax 907-842-3202
    



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